Individual provider Active NPI

Melissa Velazquez, APRN

  • Adult Health Nurse Practitioner
  • Lincoln, RI
National Provider Identifier
1699643726
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN04590 Issued in RI
Practice address
132 Old River Rd Ste 108
Lincoln, RI 02865-1397
Phone
(401) 723-9250
NPI assigned
Oct 29, 2025
Last updated
Oct 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X APRN04590 RI
Nursing Facility/Intermediate Care Facility 313M00000X APRN04590 RI
Nurse Practitioner 363L00000X APRN04590 RI
Gerontology Nurse Practitioner 363LG0600X APRN04590 RI
Adult Health Nurse Practitioner 363LA2200X APRN04590 RI Primary

Addresses

Primary practice location

132 Old River Rd Ste 108
Lincoln, RI 02865-1397

Mailing address

25 Lockwood St
West Warwick, RI 02893-2108
Phone (774) 526-8312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260109000838 RI Practitioner - Nurse Practitioner 1052897063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

132 Old River Rd
Suite 108
Lincoln, RI 02865-1397

PO Box
Boston, MA 02241

PO Box
Suite 68
Osceola Mills, PA 16666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN04590RIMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Core Clinicals LLC Internal Medicine CurrentSince Dec 1, 2025 Accepting new patients

Locations

132 Old River Rd
Ste 108
Lincoln, RI 02865
Phone (401) 334-1044

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1761696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1699643726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 LOCKWOOD ST",
            "city": "WEST WARWICK",
            "state": "RI",
            "postal_code": "028932108",
            "telephone_number": "774-526-8312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 OLD RIVER RD STE 108",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651397",
            "telephone_number": "401-723-9250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELAZQUEZ",
        "first_name": "MELISSA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-29",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "APRN04590",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "RI",
            "license": "APRN04590",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "RI",
            "license": "APRN04590",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "RI",
            "license": "APRN04590",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "RI",
            "license": "APRN04590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, RI

Sources for this page

Verify at the official NPI Registry.